A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?
Double the dose if a dose is missed.
Reduce caffeine and acidic intake.
Avoid taking on an empty stomach.
Consume 2. liters of water daily.
The Correct Answer is A
A. Double the dose if a dose is missed:
This instruction is incorrect. Clients should not double their dose of allopurinol if they miss a dose. Instead, they should take the missed dose as soon as they remember, unless it is almost time for the next dose. Doubling the dose can lead to overdose and potential side effects.
B. Reduce caffeine and acidic intake:
Reducing caffeine and acidic foods can help manage gout and lower uric acid levels, making this advice appropriate.
C. Avoid taking on an empty stomach:
While allopurinol can be taken with or without food, some clients might find it less irritating if taken with food. This guidance is intended to reduce gastrointestinal discomfort.
D. Consume 2 liters of water daily:
Drinking adequate fluids helps prevent kidney stones and promotes overall kidney health, which is especially important when taking allopurinol. This advice supports effective medication use and overall health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Worsening headache:
Vasopressin is used to manage diabetes insipidus by reducing excessive urine output and increasing water reabsorption. A worsening headache could indicate an adverse reaction or side effect such as water intoxication or an increase in intracranial pressure, which requires immediate attention from the healthcare provider.
B. Low urine specific gravity:
Vasopressin should increase urine specific gravity by concentrating the urine. A low urine specific gravity would indicate that the medication is not effectively concentrating the urine, but it is not an immediate or severe side effect needing urgent reporting.
C. Polyuria:
Polyuria (excessive urine output) is a characteristic of diabetes insipidus, and vasopressin is intended to reduce this symptom. If polyuria persists despite treatment, it suggests that the medication is not working as intended but does not indicate a severe side effect.
D. Polydipsia:
Polydipsia (excessive thirst) can occur in diabetes insipidus and may continue despite treatment with vasopressin. While it indicates ongoing symptoms, it is not a severe side effect of the medication that would require urgent reporting to the healthcare provider.
Correct Answer is ["200"]
Explanation
Calculations:
Total volume of the IV bag = 200 mL
Infusion time = 1 hour
To calculate the infusion rate in mL/hr, we use the formula:
Infusion rate (mL/hr) = Total volume (mL) / Infusion time (hours)
Infusion rate (mL/hr) = 200 mL / 1 hour = 200 mL/hr
Therefore, the nurse should program the infusion pump to deliver 200 mL/hr.
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